Doc Ref No.

: CPNL/HSE-TT
HSE 2023 TIME TABLE
Issue date: 2021

Revision: 003

This checklist is intended as a prompt for things to look for in the course of a visit to all areas of your department. Give more detailed consideration where
necessary. Disregard irrelevant items and make additions to the list if appropriate: see the departmental risk assessments for ideas of things to add to the list.
When you see problems, note them in the comments column for follow up later. This inspection is about the physical environment.
Site: Click to enter text. Department Click to enter text. Reviewer: Click here to enter text. Date: Select date.
:

Topic Subject OK Issue NA Comments

Lighting Sufficient, suitable Click here to enter text.
Heating Suitable, working Click here to enter text.
Ventilation Adequate, working Click here to enter text.
Adequate space Click here to enter text.
Storage Click here to enter text.
Environment

Workplace
Facilities (toilets, drinking water, eating etc) Click here to enter text.
Trip and slip hazards, floor condition. Click here to enter text.
Noise Hazardous? Nuisance? Click here to enter text.
Humidity Adequate? Not excessive? Click here to enter text.
Housekeeping Tidy, clean, adequate storage? Click here to enter text.
Checked frequently for glazing condition, Click here to enter text.
Window Checks restrictors working, window locking device (inc.
key) control/management?
Suitable? Well sited? Adequately maintained? Click here to enter text.
General
Safe in use? Safe when not in use? Click here to enter text.
Electrical Click here to enter text.
Sufficient, well placed, securely fixed?
Sockets
Equipment

Cables, Plugs Good condition, well placed? Click here to enter text.
Condition and positions of hardware? Click here to enter text.
Chair, screen, keyboard and mouse positions? Click here to enter text.
Display Screens
Reflections/glare, Work patterns? Click here to enter text.
Information to users? Click here to enter text.
Gas Cylinders Secured? Correct size for use? Click here to enter text.
Specialist Fit for purpose, maintained, staff trained Click here to enter text.
Ha

General Risks assessed? Precautions implemented? Click here to enter text.

C.D PRINCETON NIG LTD Occupational Health and Safety Workplace HSE Management Compliance Evaluation
 Doc Ref No.: CPNL/HSE-TT
HSE 2023 TIME TABLE
Issue date: 2021

Revision: 003

Topic Subject OK Issue NA Comments

Storage adequate, staff informed? Click here to enter text.
zardous Substances

COSHH assessed? Click here to enter text.

Drugs
Access control, disposal? Click here to enter text.

Body Fluids Click here to enter text.

Spillage procedures in place?

Domestic Waste Click here to enter text.

Collected? Tidy?
Waste Control

Procedures adhered to? Click here to enter text.

Sharps Containers available, secure? Collected? Not Click here to enter text.
overfilled?
Glass Segregated? Containers available? Collected? Click here to enter text.
Clinical Waste Segregated? Policy adhered to? Click here to enter text.
Chemical Waste Correct disposal? Documented system? Click here to enter text.
Selection Appropriate for risks? Suitable for users? Click here to enter text.
Provision Available? Training? System for replacement Click here to enter text.
PPE

Use Used, supervised/enforced? Click here to enter text.

Maintenance System established? Done? Documented Click here to enter text.
Fir

Training First aider accessible? Training up-to-date? Click here to enter text.
C.D PRINCETON NIG LTD Occupational Health and Safety Workplace HSE Management Compliance Evaluation
 Doc Ref No.: CPNL/HSE-TT
HSE 2023 TIME TABLE
Issue date: 2021

Revision: 003

Topic Subject OK Issue NA Comments

Posters Click here to enter text.

Up to date? Out-of-hours cover?

Boxes Click here to enter text.

st Aid

Available? Marked? Properly stocked?

Sharps Injury Click here to enter text.

Procedure established and made known?

Avoidance Click here to enter text.

Manual Handling

Man. handling tasks reduced to minimum?

Aids Click here to enter text.

Provided, available, used, maintained?
Space Not constricted? Well laid out? Click here to enter text.
Storage Suitable heights, adequate, cluttered Click here to enter text.
Access Access control: check for weaknesses Click here to enter text.
Security

Storage Valuables? Drugs? Sharps? Click here to enter text.

Lighting External routes Click here to enter text.
Alarm call system, communications, Layout of Click here to enter text.
Violence
rooms?
List here the things you think should be checked on regularly in your work environment and include them in your inspections.
New Topic New Subject Click here to enter text.
Local

New Topic New Subject Click here to enter text.

New Topic New Subject Click here to enter text.
C.D PRINCETON NIG LTD Occupational Health and Safety Workplace HSE Management Compliance Evaluation
 Doc Ref No.: CPNL/HSE-TT
HSE 2023 TIME TABLE
Issue date: 2021

Revision: 003

Topic Subject OK Issue NA Comments

New Topic New Subject Click here to enter text.
New Topic New Subject Click here to enter text.
New Topic New Subject Click here to enter text.
Checks

New Topic New Subject Click here to enter text.

New Topic New Subject Click here to enter text.
New Topic New Subject Click here to enter text.
New Topic New Subject Click here to enter text.
New Topic New Subject Click here to enter text.

Action Plan
Date for
Item Action Required Action By Comments
Completion
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C.D PRINCETON NIG LTD Occupational Health and Safety Workplace HSE Management Compliance Evaluation